Progressive Youth Connection in Saint Louis - Community/behavioral Health
Progressive Youth Connection - NPI 1063695559
Progressive Youth Connection is a Community/behavioral Health in Saint Louis, Missouri. Progressive Youth Connection practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Progressive Youth Connection is 1063695559. The last update date is 2007-12-07.
Progressive Youth Connection's current location address is 9530 Watson Industrial Park, Saint Louis, Missouri. You can contact this provider via phone number 3149638368 and fax number 3149638935. The mailing address for Progressive Youth Connection is 9530 Watson Industrial Park, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Youth Connection |
|---|---|
| Address | 9530 Watson Industrial Park, Saint Louis, Missouri |
| Phone Number | 3149638368 |
| Fax Number | 3149638935 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Petri Meg |
| Credentials | LPC |
| Telephone Number | 3149638368 |
NPI Number Detail
| NPI Number | 1063695559 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 9530 Watson Industrial Park |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631261525 |
| Phone Number | 3149638368 |
| Fax Number | 3149638935 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identification code assigned to Progressive Youth Connection by the Centers for Medicare & Medicaid Services?
The Progressive Youth Connection has been issued the NPI (National Provider Identifier) 1063695559, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Progressive Youth Connection's facilities are geographically located?
The facilities of Progressive Youth Connection are physically situated at the following location: 9530 Watson Industrial Park, Saint Louis, MO, 631261525.
What is Progressive Youth Connection's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Progressive Youth Connection is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063695559 to Progressive Youth Connection?
The Centers for Medicare & Medicaid Services originally issued the 1063695559 to Progressive Youth Connection on 2007-12-07.
As of what date were the Progressive Youth Connection's details last updated?
The information pertaining to the Progressive Youth Connection, including its address, specialty, and other details, was most recently updated on 2007-12-07.
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